We have been piloting a lab generated reflex lactate done four hours after the 
initial draw time on patients that have a lactate of > 2.  The only pushback we 
have had is related to our trauma patients who routinely have one done on 
admission.
Are any of your facilities trauma centers and are you doing reflex lactates and 
has there been any pushback?
Thanks for your feedback.

Mary Draper RN BSN
Coordinator Quality Improvement
Peer Review Support CV/CT
Quality Management JMH
Office (925) 674-2045
Cell (925) 451-8792
Fax (925) 674-2373
[email protected]<mailto:[email protected]>
[cid:[email protected]]

"O, let us always have a mountain within our soul,  with a peak so high that we 
never quite reach the top...
  For then we will always strive for greater things and will not be content  
with merely climbing hills."     Ardath Rodale


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